Transitional care begins prior to hospital discharge and terminates once an outpatient care team has seen the patient and assumed care responsibility. Most transitional care models are designed around ...

Hello, and welcome to A Health Podicy. I'm your host, Rob Lott. For hospitalized patients, generally speaking, it's great news to hear you're being discharged and going home at last. But years of ...

The American Academy of Nursing has designed a Penn School of Nursing transitional care model as an Edge Runner, marking it as an evidence-based model of care with proven outcomes. The Nursing ...

Transitional care is a critical aspect of modern healthcare, particularly for older adults who often experience complex comorbidities and care needs following hospital discharge. This ...

In today’s ever-changing healthcare landscape, the journey from hospital to home care is a critical juncture in patient recovery. As healthcare executives and professionals, ensuring smooth and ...

These results highlight the benefits of the BRIDGE program and support the hypothesis that the BRIDGE program provides a significant savings in avoided hospital readmissions when compared to usual ...

Stevens Institute of Technology (Stevens) and the University of Pennsylvania School of Nursing (Penn Nursing) were recently funded by the Robert Wood Johnson Foundation (RWJF) to use policy flight ...

As the nation focuses on how to cut the cost of so-called health care reform, maybe it’s time to pay attention to demonstrated methods for improving care while reducing costs that are not yet ...

Hospital care transition activity facilitates uptake of Medicare-reimbursed transitional care management, which is associated with lower spending and better patient outcomes. Objectives: To assess ...

This article is the latest in the Health Affairs Forefront featured topic, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

CMS’ upcoming ACCESS payment model is being billed as a turning point in how chronic care is reimbursed and managed — aiming to tie payments to patient outcomes and expand the use of digital tools.